Individual
BETTY OMANDAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 FIRE MESA ST, SUITE 160, LAS VEGAS, NV 89128-9016
(702) 518-1534
Mailing address
2440 PROFESSIONAL CT, STE 110, LAS VEGAS, NV 89128-0839
(702) 518-1534
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN 002508
NV
Other
Enumeration date
04/28/2017
Last updated
11/15/2017
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